Active NPI
George Khoa Nguyen, DDS
- General Practice Dentistry
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50657
- Practice address
- 11882 De Palma Rd
2 E
Corona, CA 92883-4008 - Phone
- (951) 277-7678
- NPI assigned
- Jan 5, 2007
- Last updated
- Sep 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50657 | CA | Primary |
Addresses
Primary practice location
11882 De Palma Rd
2 E
Corona, CA 92883-4008
Mailing address
11882 De Palma Rd # 2E
Corona, CA 92883-4008
Phone (951) 277-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50657 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nguyen Ly Nguy Dental Corp | Current | Accepting new patients | |
| George K Nguyen DDS, PC | Current | Accepting new patients | |
| George K Nguyen DDS, PC | Current | Accepting new patients |
Locations
11882 De Palma Rd
#2E
Corona, CA 92883
Phone (951) 277-7678
11882 De Palma Rd
Ste 2E
Corona, CA 92883
Phone (951) 277-7678
2097 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 273-9900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1336297654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11882 DE PALMA RD # 2E",
"city": "CORONA",
"state": "CA",
"postal_code": "928834008",
"telephone_number": "951-277-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11882 DE PALMA RD",
"address_2": "2 E",
"city": "CORONA",
"state": "CA",
"postal_code": "928834008",
"telephone_number": "951-277-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "GEORGE",
"middle_name": "KHOA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.